Menu
About us
Premiere Staff
Facility
Contact
Classes
Recreational
Recreational Info
Competitive
Competitive Info
Company Auditions
Company Member Info
Company Member- Costume, Hair and Makeup
Company Member- Important Updates 2024
Pom
Pom Info
Pom Team Auditions
Pom Member Info
Pom Member- Costume, Hair and Makeup
Pom Member- Important Updates
Preschool
Boppin Babies
Summer Classes 2024
Student Info
Shoe Orders
Alumni
Paypal
Full Season Registration
Darby’s Dancers
Information
Elevate
Recital Hub
Boppin Babies- Registration
Registration - Boppin Babies (Winter)
Student 1 Information
Student Name
*
First
Last
Student Gender
Birth Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age
*
Medical Info
(Allergies, limitations, concerns)
Contact Information
Email
*
Home Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Parent/Guardian Information
Parent/Guardian 1 Name
*
First
Last
Parent 1 Relationship
*
Mother
Father
Legal Guardian
Parent/Guardian 1 Phone
*
Parent/Guardian 2 Name
First
Last
Parent/Guardian 2 Relationship
Mother
Father
Legal Guardian
Parent/Guardian 2 Phone
Emergency Contact Name
*
First
Last
Emergency Contact Number
*
Boppin Babies Saturday 11:00-11:30AM
*
Price:
Agreements
Dance Participant Liability Waiver and Release Form This Waiver and Release Form (“Release”) is entered into by and between Premiere Dance Academy, LLC, (“Premiere Dance”) and Schulberg Enterprises, LLC, Participant, (collectively the “Parties”) as of this 2024-2025 dance season. WHEREAS, Participant wishes to engage in dance activities at Premiere Dance, Schulberg Enterprises, and Schulberg properties, and WHEREAS, Participant understands that dance activities can be physically demanding; and WHEREAS, Participant understands that the potential for physical injury is inherent in any and all physical activity including dance activities; and NOW, THEREFORE, for good and valuable consideration, the sufficiency of which is hereby acknowledged, the Parties covenant and agree as follows: 1. Premiere Dance agrees to offer Participant dance lessons and other services where Participant will participate in the activities of Premiere Dance, Schulberg Enterprises and Schulberg properties. As part of this participation, Participant will obtain valuable dance skills and experience. 2. Participant agrees not to hold Premiere Dance, Schulberg Enterprises LLC, or its agents, officers or employers, liable for any claims, actions, losses, costs or expenses that may arise in connection with Participant’s participation as a student and/or instructors/owners whether at the Premiere Dance facility, Schulberg Enterprises LLC Facility, or some other location. Participant agrees that this Release shall be construed as broadly as possible, and that if any portion is held invalid, those provisions not deemed to be invalid shall continue in full force and effect. 3. Participant is aware that this is a release of liability and an acknowledgement of his/her voluntary and knowing assumption of the risk of injury. Participant has signed this document voluntarily and of his/her own free will in exchange for the privilege of participation. 4. If Participant is a minor child, a parent or guardian has signed this waiver and release acknowledging the same risks to their child inherent in dance activities. Participant’s parent or guardian also represents that the minor child has the parent or guardian’s permission to participate in dance activities at Premiere Dance, Schulberg Enterprises LLC. 5. Signing below is also acknowledgement that the Parent(s)/Guardian(s) will be fully responsible and agree to make on time payments to Premiere Dance Academy, LLC for Participant’s dance fees including but not limited to: tuition, costumes, competition fees, tights, shoes, etc. as applicable. Past due accounts may be subject to late fee charges and/or debt collections. Pursuant to Minnesota Statute § 604.055, this waiver and release does not purport or intend to waive liability for damage, injuries, or death resulting from conduct that constitutes greater than ordinary negligence. Nothing in this liability waiver and release shall be deemed to grant Participant any warranty as to dance abilities prior to, or after engaging with Premiere Dance, Schulberg Enterprises LLC.
I grant my permission for Premiere Dance Academy to use photographs or video clips of my child.
*
Yes
No
Parent/Legal Guardian Digital Signature
*
By typing my name below, I agree to the terms listed above.
Payment
Billing Address
*
Same as previous
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Total
$0.00
Coupon
Credit Card
*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
Menu